Individual
MARY L ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4940 VAN NUYS BLVD STE 200, SHERMAN OAKS, CA 91403
(818) 380-2626
(818) 380-2620
Mailing address
8390 CHAMPIONS GATE BLVD, SUITE 215, CHAMPIONS GATE, FL 33896-8310
(407) 390-1677
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13410
CA
Other
Enumeration date
01/11/2007
Last updated
08/14/2018
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